Efficacy and Cost Analysis of Steroids in Treatment of Otitis Media With Effusion

Efficacy and Cost Analysis of Steroids in Treatment of Otitis Media With Effusion (OME) Compared to That of Combination of Antibiotic, Antihistaminic, and Nasal Decongestant

We intend to study the cost of treatment, efficacy and adverse effects for Otitis media with effusion.

Treatment groups would be:

1. Cefpodoxime + oxymetaxoline drops + levocetirizine
2. Fluticasone intranasal spray
3. Short term oral steroids
4. Wait and watch

Inclusion Criteria:

• history of mild ear ache or decreased hearing for three or more months, plus
• intact and immobile tympanic membrane by pneumatic otoscopy
• Type B tympanogram

Exclusion Criteria:

• any external ear condition that hampers visualization of tympanic membrane
• lost to follow up